DAMPAK KEMISKINAN TERHADAP AKSES PELAYANAN KESEHATAN DI INDONESIA
Keywords:
kemiskinan, pelayanan kesehatan, pencarian pelayanan kesehatan, sosial ekonomiAbstract
Penelitian ini bertujuan untuk menganalisis pengaruh kemiskinan terhadap akses pelayanan kesehatan di Indonesia. Dengan fokus pada pemahaman hubungan antara kemiskinan dan perilaku mencari pelayanan kesehatan, penelitian ini menyelidiki faktor sosial ekonomi utama yang berkontribusi terhadap terbatasnya akses ke pelayanan kesehatan di masyarakat miskin.
Studi ini menggunakan metode penelitian kualitatif, memanfaatkan data sekunder dari sumber terpercaya seperti survei nasional, laporan pemerintah, dan literatur akademik. Dengan memanfaatkan data yang ada, penelitian ini mengadopsi pendekatan komprehensif untuk memahami kompleksitas hubungan antara kemiskinan dan akses kesehatan di Indonesia.
Temuan ini menyoroti dampak signifikan dari kemiskinan terhadap perilaku dan pemanfaatan pelayanan kesehatan di kalangan individu di Indonesia. Kemiskinan ditemukan menjadi penghalang utama yang menghalangi individu untuk mencari pelayanan perawatan kesehatan yang diperlukan, mengakibatkan pengobatan yang tertunda atau tidak memadai. Kendala ekonomi, cakupan asuransi kesehatan yang tidak memadai, dan infrastruktur kesehatan yang terbatas diidentifikasi sebagai faktor sosial ekonomi utama yang berkontribusi terhadap terbatasnya akses ke pelayanan kesehatan di masyarakat miskin.
Selain itu, penelitian ini mengungkapkan adanya kesenjangan yang mencolok dalam ketersediaan dan kualitas pelayanan kesehatan antara daerah miskin dan tidak miskin di Indonesia. Daerah miskin sering kekurangan fasilitas kesehatan, tenaga kesehatan profesional, dan pasokan medis penting, memperburuk tantangan yang dihadapi oleh individu yang hidup dalam kemiskinan.
Kesimpulannya, kemiskinan secara signifikan mempengaruhi perilaku dan pemanfaatan pelayanan kesehatan di Indonesia, memperburuk kesenjangan kesehatan di masyarakat. Mengatasi faktor sosial ekonomi utama yang mendasari terbatasnya akses ke pelayanan kesehatan di masyarakat miskin sangat penting untuk meningkatkan hasil pelayanan kesehatan di Indonesia.
Downloads
References
Adi Ahdiat. (2023, July 17). Penduduk Miskin Indonesia Berkurang pada Maret 2023, Terendah sejak Pandemi. Katadata Media Network. https://databoks.katadata.co.id/datapublish/2023/07/17/penduduk-miskin-indonesia-berkurang-pada-maret-2023-terendah-sejak-pandemi
Andrus, M. R., & Roth, M. T. (2002). Health literacy: a review. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 22(3), 282–302.
Anindya, K., Lee, J. T., McPake, B., Wilopo, S. A., Millett, C., & Carvalho, N. (2020). Impact of Indonesia’s national health insurance scheme on inequality in access to maternal health services: A propensity score-matched analysis. Journal of Global Health, 10(1).
Anna Wahyuni Widayanti, James A. Green, Susan Heydon, & Pauline Norris. (2020, January 30). Health-Seeking Behavior of People in Indonesia: A Narrative Review. National Library of Medicine, National Center for Biotechnology Information. https://doi.org/10.2991/jegh.k.200102.001
Aspinall, E. (2014). Health care and democratization in Indonesia. Democratization, 21(5), 803–823.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.
Cooper, R. A., Cooper, M. A., McGinley, E. L., Fan, X., & Rosenthal, J. T. (2012). Poverty, wealth, and health care utilization: a geographic assessment. Journal of Urban Health, 89, 828–847.
Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications.
Darcy Jones McMaughan, Oluyomi Oloruntoba, & Matthew Lee Smith. (2020, June 18). Socioeconomic Status and Access to Healthcare: Interrelated Drivers for Healthy Aging. National Library of Medicine, National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314918/
Das, J., Do, Q.-T., Friedman, J., McKenzie, D., & Scott, K. (2007). Mental health and poverty in developing countries: Revisiting the relationship. Social Science & Medicine, 65(3), 467–480.
Deichmann, U. (1999). Geographic aspects of inequality and poverty. Roma: FAO.
Haemmerli, M., Powell-Jackson, T., Goodman, C., Thabrany, H., & Wiseman, V. (2021). Poor quality for the poor? A study of inequalities in service readiness and provider knowledge in Indonesian primary health care facilities. International Journal for Equity in Health, 20(1). https://doi.org/10.1186/s12939-021-01577-1
Handayani, P. W., Hidayanto, A. N., Sandhyaduhita, P. I., & Ayuningtyas, D. (2015). Strategic hospital services quality analysis in Indonesia. Expert Systems with Applications, 42(6), 3067–3078.
Harris, S. (2018). The relationship between unemployment and health for individuals aged 20-59 years old. Community Development, 49(1), 109–123.
Indonesia and ADB. (2023). Asian Development Bank. https://www.adb.org/countries/indonesia/poverty
Johnson, M. (2021). The impact of health insurance on access to healthcare services. Journal of Health Economics, 78(102450).
KEMENTERIAN KESEHATAN REPUBLIK INDONESIA. (2021). PROFIL KESEHATAN INDONESIA TAHUN 2020.
Kim, K., Ghorbanzadeh, M., Horner, M. W., & Ozguven, E. E. (2021). Identifying areas of potential critical healthcare shortages: A case study of spatial accessibility to ICU beds during the COVID-19 pandemic in Florida. Transport Policy, 110, 478–486.
Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., & Doubova, S. V. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet Global Health, 6(11), e1196–e1252.
Kruk, M. E., Gage, A. D., Joseph, N. T., Danaei, G., García-Saisó, S., & Salomon, J. A. (2018). Mortality due to low-quality health systems in the universal health coverage era: A systematic analysis of amenable deaths in 137 countries. . . The Lancet, 392(10160), 2203–2212. https://doi.org/https://doi.org/10.1016/S0140-6736(18)31668-4
Lamb, D., Greenberg, N., Hotopf, M., Raine, R., Razavi, R., Bhundia, R., Scott, H., Carr, E., Gafoor, R., & Bakolis, I. (2021). NHS CHECK: protocol for a cohort study investigating the psychosocial impact of the COVID-19 pandemic on healthcare workers. BMJ Open, 11(6), e051687.
Lofland, J., Snow, D., Anderson, L., & Lofland, L. H. (2022). Analyzing social settings: A guide to qualitative observation and analysis. Waveland Press.
Mahendradhata, Y., Trisnantoro, L., Listyadewi, S., Soewondo, P., Marthias, T., Harimurti, P., & Prawira, J. (2017). The Republic of Indonesia health system review. Health Systems in Transition, 7(1).
Mancuso, L. (2011). Overcoming health literacy barriers: a model for action. Journal of Cultural Diversity, 18(2).
Marmot, M., & Allen, J. J. (2014). Social determinants of health equity. In American Journal of public health (Vol. 104, Issue S4, pp. S517–S519). American Public Health Association.
Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. sage.
Mostari, S., & Mostari, S. (2020). Poverty, inequality, and health: The challenges for Indonesia. In Health, Society, and Community. Springer.
Nambi Ndugga, & Samantha Artiga. (2023, April 21). Disparities in health and health care: Five key questions and answers. KFF. https://www.kff.org/racial-equity-and-health-policy/issue-brief/disparities-in-health-and-health-care-5-key-question-and-answers/
National Academies of Sciences, E., and M. (NASEM). (2019). Integrating social care into the delivery of health care: Moving upstream to improve the nation’s health. National Academies Press.
Newacheck, P. W., McManus, M., Fox, H. B., Hung, Y.-Y., & Halfon, N. (2000). Access to health care for children with special health care needs. Pediatrics, 105(4), 760–766.
Niedar, A., Hafidz, F., & Hort, K. (2022). OPTIMIZATION OF HEALTHCARE WORKERS AVAILABILITY: INCREASING PRIMARY HEALTHCARE EFFICIENCY IN INDONESIA. In Jurnal Ekonomi Kesehatan Indonesia (Vol. 7, Issue 1). https://doi.org/10.7454/eki.v7i1.5397
Penchansky, R., & Thomas, J. W. (2020). The concept of access: Definition and relationship to consumer satisfaction. Medical Care, 19(2), 127–140. https://doi.org/doi:10.1097/00005650-198102000-00001
Peters, D. H., Garg, A., Bloom, G., Walker, D. G., Brieger, W. R., & Hafizur Rahman, M. (2008). Poverty and access to health care in developing countries. Annals of the New York Academy of Sciences, 1136(1), 161–171.
Pratiwi, A. B., Setiyaningsih, H., Kok, M. O., Hoekstra, T., Mukti, A. G., & Pisani, E. (2021). Is Indonesia achieving universal health coverage? Secondary analysis of national data on insurance coverage, health spending, and service availability. BMJ Open, 11(10), e050565.
Rasita, M. N., Maezah, M. S., & Syukron, M. (2017). Accessibility pattern of primary health services in Indonesia (A case study: Majalengka District). IOP Conference Series: Earth and Environmental Science, 65(1), 012021.
Rokx, C., Schieber, G., Harimurti, P., Tandon, A., & Somanathan, A. (2017). Resilient and Inclusive Health Systems in Asia and the Pacific: Asian Development Outlook 2017. In Asian Development Outlook 2017: Transcending the Middle-Income Challenge. Asian Development Bank, 224–246.
Sachs, J. D. (2012). From millennium development goals to sustainable development goals. The Lancet, 379(9832), 2206–2211.
Sasmito Madrim. (2023, January 17). BPS: Jumlah Penduduk Miskin Indonesia Capai 26 Juta Orang. VOA Indonesia. https://www.voaindonesia.com/a/bps-jumlah-penduduk-miskin-indonesia-capai-26-juta-orang-/6921462.html
Siregar, F. A., & Wahyuningsih, R. (2017). Health services utilization among poor older people in disadvantaged areas in Indonesia. Health and Well-Being in Southeast Asia, 93–116.
Smith, A. B., Jones, C. D., & Parker, L. E. (2020). The impact of income on healthcare access: Evidence from a realist review. Health Policy, 124(3), 255–262.
Suryahadi, A., Widyanti, W., & Perwira, W. R. (2016). Profile of community health center doctors in poor areas. The Sains Indonesiana, 41(1), 9–17.
Thompson, B., Molina, Y., Viswanath, K., Warnecke, R., & Prelip, M. L. (2016). Strategies to empower communities to reduce health disparities. Health Affairs, 35(8), 1424–1428.
Thompson, P. (2019). Education and health literacy: A primary factor in healthcare access. The Journal of Comparative Education, 49(2), 157–174.
Upshur, R. E. G. (2002). Principles for the justification of public health intervention. Canadian Journal of Public Health, 93, 101–103.
Utami, D., Sumiwi, M. E., & Widyawati, W. (2018). Factors related to the determinant of access to health care in poor areas in special regions of Yogyakarta. Kesmas: National Public Health Journal, 13(1), 30–37.
Williams, J. (2017). Geographic maldistribution of primary care physicians: An American crisis. Journal of Community Health, 42(3), 564–572.
Wong, S. Y. S., Chung, R. Y. N., Chan, D., Chung, G. K. K., Li, J., Mak, D., Lau, M., Tang, V., Gordon, D., & Wong, H. (2018). What are the financial barriers to medical care among the poor, the sick, and the disabled in the Special Administrative Region of China? PLoS ONE, 13(11). https://doi.org/10.1371/journal.pone.0205794
World Bank. (2019). Basic Health Services. World Bank. https://www.worldbank.org/en/topic/health/brief/basic-health-services
World Bank. (2021). Poverty Overview. https://www.worldbank.org/en/topic/poverty/overview
World Bank. (2023, May 9). Indonesia Poverty Assessment: Pathways Towards Economic Security. THE WORLD BANK. https://www.worldbank.org/en/country/indonesia/publication/indonesia-poverty-assessment
World Health Organization. (2019). Delivering quality health services: A global imperative for universal health coverage. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/324835/WHO-HIS-SDS-2019.8-eng.pdf
Wulandari, D., Windyastuti, H., & Rahayu, S. (2019). Analysis of the accessibility of health centers in poor areas in the East Java district. Kesmas: National Public Health Journal, 13(3), 169–178.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Aris Sarjito
This work is licensed under a Creative Commons Attribution 4.0 International License.